Transitions in drug abuse in Colombia
DOI:
https://doi.org/10.20882/adicciones.254Keywords:
transitions, drug abuse, forms of administration, qualitative researchAbstract
Transitions in drug abuse (going from one substance to another and from one form of administration to another) has been scarcely studied in Latin America. In this project 96 people in treatment, aged 14 to 50, were interviewed in seven Colombian cities. Five kinds of transition were identified: general, cumulative, substitutive, reverse and negative, occurring at nine different points; 113 ‘transitional patterns’ (combinations of two substances) were found, 23 common to men and women, 10 exclusive to women and 80 exclusive to men. Contrary to all expectations, 21 cases of heroin users appeared in this sample, mainly among upper- and middle-class users, more in men than in women, and in very young people: 11 out of 21 were under 20 years of age. The 10 main transitions only involve four substances: marihuana, cocaine, inhalants and tranquillizers, and are most common amongst those under age 23. The youngest use marihuana, cocaine, tranquillizers, glues, ecstasy, poppers and heroin; the eldest prefer cocaine, basuco and marihuana. Mixtures, changes of substance and changes of from of administration are always associated with a search for more powerful effects. Many youngsters believe that marihuana is either harmless or beneficial, because it can cure cancer caused by smoking tobacco. Heroin is considered the most dangerous drug because of its bad effects on all levels. The main limitations of this study were: the small number of participants, the even smaller number of women, and the fact that only people in treatment were interviewed.References
Ameijden, E. y Countinho, R. (2001). Large decline in injecting drug use in Amsterdam, 1986-1998: explanatory mechanisms and determinants of injecting transitions. Journal of Epidemical Community Health, 55, 356-363.
Auld, J., Dorn, N. y South, N. (1986). Irregular work, Irregular pleasures:
heroin in the 1980s. in R. Matthews y J. Young, editores. Confronting Crime. London: Sage.
Crum, R.M., Lillie-Blanton, M. y Anthony, M.J. (1996). Neighborhood
environment and opportunity to use cocaine and other drugs in late childhood and early adolescence. Drug and Alcohol Dependency, 43, 155-161.
Gossop, M., Griffiths, P. y Strang, J. (1994). Sex differences in patterns
of drug taking behavior. A study at a London community drug team. British Journal of Psychiatry, 164, 101- 4.
Herrera, F., Wagner, M., Velasco, A., Borges, T. y Lazcano, S. (2004).
Inicio en el consumo de alcohol y tabaco y transición a otras drogas en estudiantes de Morelos, México. Salud Pública de México, 132 – 140.
Kandel, D. (1975). Stages in adolescent involvement in drug use. Science, 190, 912-914.
Kandel, D. y Davies, M. (1992). Progression to regular marijuana involvement: phenomenology and risk factors for near daily use. En M. Glantz y R. Pickens (eds.). Vulnerability to Drug Abuse. Washington, D.C. American Psychological Association
Khalsa, M., Anglin, D., Pareder, A., Potepan, P. y Potter, C. (1993).
Pretreatment natural history of addiction: Preliminary 1-year follow up results. En: Tims F, Leukefeld C, (eds.). Cocaine Treatment: Research and Clinical Perspectives (pp. 218-235). National Institute on Drug Abuse Research Monograph.
Kosterman, R., Hopkins, J., Guo, J., Catalano, R y Abbot, R. (2000). The
dynamics of alcohol and marijuana initiation: Patterns and predictor of first use in adolescence. American Journal of Public Health, 90, 360-366.
Lynskey, M., Heath, A., Bucholz, K., Slutske, W., Madde, P., Nelson, E.,
Statham, D. y Martin, N. (2003). Escalation of Drug use in Early-Onset Cannabis Users vs. Co-twin Controls. JAMA, 289, 22-29.
MPS/CICAD (2005). Encuesta Nacional sobre consumo de sustancias
psicoactivas en jóvenes escolarizados de 12 a 17 años en Colombia. Bogotá: MPS.
Naciones Unidas (2003) Informe Mundial sobre Drogas, Volumen 1:
Análisis. Oficina de las Naciones Unidas contra la Droga y el Delito (ONUDD)
Naciones Unidas (2004). Informe Mundial sobre Drogas, Volumen 1:
Análisis. Oficina de las Naciones Unidas contra la Droga y el Delito (ONUDD)
Naciones Unidas (2005). Informe Mundial sobre Drogas, Volumen
: Análisis. Oficina de las Naciones Unidas contra la Droga y el Delito (ONUDD)
Naciones Unidas (2006). Informe Mundial sobre Drogas, Volumen 1:
Análisis. Oficina de las Naciones Unidas contra la Droga y el
Delito (ONUDD)
Naciones Unidas (2007). Informe Mundial sobre Drogas, Volumen 1:
Análisis. Oficina de las Naciones Unidas contra la Droga y el Delito (ONUDD)
Naciones Unidas (2006). Jóvenes y drogas en países sudamericanos:
un desafío para las políticas públicas Primer estudio comparativo
sobre uso de drogas en población escolar secundaria de Argentina, Bolivia, Brasil, Colombia, Chile, Ecuador, Paraguay, Perú y Uruguay.
Plan Nacional Sobre Drogas (2003). Informe No 6. Observatorio
Español sobre Drogas. Ministerio de Sanidad y Consumo, Madrid.
Oviedo, E., March, J., Romero, M. y Sánchez, E. (2005). Factores
asociados al uso de la vía pulmonar e intravenosa en una muestra de consumidores de heroína en Granada. Revista Española de Salud Pública, 79, 391-401.
Stenbacka, M., Allebeck, P. y Romelsjo, A. (1993). Initiation into drug
abuse: the pathway from being offered drugs to trying cannabis and progression to intravenous drug abuse. Scandinavian Journal Social Medicine, 21, 31-39 .
Stimson, G. (1992). Minimizing harm from drug use. En Heathcote, S.
y Watson, P. (1987). Habit moderation in injecting drug addicts. Health Trends, 19, 16-18.
Stocco, P., Llopis, J., De Fazio, L., Facy, F., Mariani, E., Legl, T., Carvalho,
M., Castillo, A. y Rebollida, M. (2000). Women and opiate addiction: a
European perspective. IREFREA. Palma de Mallorca: España
Stocco, P., Llopis, J., DeFazio, L., Calafat, A. y Mendes, F. (2002). Women
drug abuse in Europe: gender identity. IREFREA. Palma de Mallorca: España.
Strang, J., Des Jarlais, D., Griffiths, P. y Gossop, M. (1992). The study of
transitions in the route of drug use: the route from one route to another. British Journal of Addiction, 87, 473-483.
Swift, W., Maher, L. y Sunjic, S. (1994). Transition between routes of
heroin administration: a study of Caucasian and Indochinese heroin users in southwestern Sydney, Australia. Addiction, 94, 71-82.
Tapia-Conyer, R., Cravioto, P. De la Rosa, B, Glavan, F. y Medina-Mora,
M. (2003). Historia natural del consumo de la cocaína: el caso de ciudad Juárez, Chihuahua. Salud Mental, 26, 12 – 21.
Wagner, F. y Anthony J. (2002). Into the world of illegal drug use:
Exposure opportunity and other mechanisms linking alcohol, tobacco, marijuana, and cocaine use. American Journal of Epidemiology, 155, 918 - 925.
Wilcox, H., Wagner, F. y Anthony, J. (2002). Exposure opportunity as
a mechanism linking youth marijuana use to hallucinogen use. Drug and Alcohol Dependence, 66, 127-135.


